Dave Wang DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44639 Issued in CA

Legal business name

DAVE WANG DDS INC.

Doing business as

Anaheim Professional Dental Group

Practice address

1834 W. Lincoln Ave. St. K
Anaheim, CA 92801

Phone

(714) 491-9264

Fax

(714) 491-7939

NPI assigned

Sep 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dave Wang, DDS

Title

Ceo

Phone

(714) 491-9264

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anaheim Professional Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669576013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 W. LINCOLN AVE. ST. K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-491-9264",
            "fax_number": "714-491-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W. LINCOLN AVE. ST. K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-491-9264",
            "fax_number": "714-491-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE WANG DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-491-9264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL, DENTI-CAL",
            "identifier": "B44639-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Professional Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daryll's Place Inc. (Daryll's Place 1)
• Usha Vishvanath Date, MEDICAL DOCTOR
• Martha Daugherty, LMFT
• Jessica Davalos, SLPA
• Dave Stadler
• Jaleel Davenport
• John Y. Davenport, MD
• David B. Friedman, MD, Inc
• David H. Kim D.D.S.
• David HK Tran DDS, Inc

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.